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| Title | Receipt for Registered Article |
| FormNumber | 3806 |
| Revision | Rev. 7-4-28 |
| Division | |
| WhereUsed | |
| EKU | 1929 |
| LKU | |
| Notes | Lower Left: Form 3806 (Rev. 7-4-28); Lower Right: c5-6852 U.S. GOVERNMENT PRINTING OFFICE: 1929. No reverse available. |
| Source | Forms-guy |
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